期刊论文

Efficacy of “triple program” in preventing knee joint flexion contracture in children with congenital pseudarthrosis of the tibia during tibial lengthening

中文

临床小儿外科杂志

1671-6353

2018

17

7

528-532

10.3969/j.issn.1671-6353.2018.07.012

湖南省卫生与计划生育委员会项目（编号:A2017008）；

本校为第一机构

目的 探讨"三联方案"(阶段性功能锻炼、佩戴胫骨延长辅助支具、延长速度个体化)预防先天性胫骨假关节(CTP)胫骨延长治疗中膝关节屈曲挛缩的临床疗效.方法 回顾性分析2013年7月至2016年11月间本院收治的42例实施联合手术加胫骨延长治疗的CTP患儿临床资料并对随访结果进行分析.结果 42例均获得完整随访,平均随访8个月(4～17个月),外固定架平均佩戴时间228 d(118～456 d);平均延长长度4.4 cm,早期愈合率100％,平均愈合指数52 d/cm;拆除外固定支架时膝关节功能优40例,良2例;无一例发生血管神经损伤、轴线移位、关节脱位、固定针折断、骨不愈合等.结论 "三联方案"预防CPT胫骨延长治疗后膝关节屈曲挛缩...

Objective To explore the efficacy of ＂ triple program＂ of staged functional exercise wearingtibial extension auxiliary braces and individualized lengthening for preventing knee joint flexion contracture during tibial lengthening in children with congenital pseudarthrosis of the tibia （CTP）. Methods A retrospectivestudy was performed for 42 CPT patients undergoing surgery plus tibial lengthening from July 2013 to November2016. Results The average followup period was 8（4 - 17） months. The average wearing time of external fixator was 2...